- Prime Therapeutics (Tallahassee, FL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ... to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services . **Responsibilities** +… more
- Highmark Health (Tallahassee, FL)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Molina Healthcare (Miami, FL)
- …of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. ... JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems. Responsible for provision of product ownership of clinical applications… more
- Highmark Health (Tallahassee, FL)
- …are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical ... to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions… more
- ChenMed (Margate, FL)
- …may have up to 12 direct reports. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Delivers outstanding clinical outcomes and service to patient panel as a PCP. + ... need great people to join our team. The Medical Director , Center is specifically responsible for executing the ChenMed...on appropriate flagging of high priority patients. + Manages clinical teams to deliver VIP service , standards… more
- Genesis Healthcare (Fort Pierce, FL)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... plans to Full-Time and Part-Time team members. + **Support for New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program kicks off on day one,… more
- Elevance Health (Miami, FL)
- … for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation ... health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects... relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical… more
- University of Miami (Miami, FL)
- …dedicated to quality, research, and accreditation. + Collaborate with the Executive Director , Center of Clinical Excellence, and senior nursing leadership to ... review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARYhe Director , Nursing administers the nursing program in a hospital… more
- University of Miami (Miami, FL)
- … clinical culture. Strategic and Interdisciplinary Collaboration + Advise the Center Director on clinical priorities and service development. + Serve ... Director will work closely with the Center Director and clinical team to oversee ...guide operations, and ensure effective delivery of integrative health services . This role offers a unique opportunity to shape… more
- Humana (Tallahassee, FL)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of… more